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Certified Enroller Exam – Covered California
2025 | Study Guide, Practice Test Questions, and
Certification Requirements
Prepare for the Certified Enroller Exam – Covered California 2025 with the latest study
guide, training materials, and free practice test questions. Learn everything about Covered
California certification, enrollment procedures, and health insurance compliance to become
a Certified Enrollment Counselor or Agent with confidence.
• Certified Enroller Exam Covered California 2025
• Covered California certification exam
• Covered California enroller training
• Covered California exam questions and answers
What are Mixed Households? - ANSWER-A situation where members of the same family are eligible for
different types of health coverage.
True or False: Consumers with income 150% or below the FPL (Federal Poverty Level) are NOT qualified
to enroll or change plans at any time throughout the year. - ANSWER-FALSE: Consumers are allowed to
enroll at any time IF they have an income below the FPL
What are qualifying life events to be able to enroll during the SEP (Special Enrollment Period)? -
ANSWER-Qualifying life events include: getting married, having a baby, received in Foster Care or
adopting, losing other health coverage or on the verge of losing health care coverage, moved to/or
within CA, DA or Spousal Abandonment, Returned from Active Military Service, gained citizenship or
lawful presence, turned 26 years old, change of household size, natural or human-caused disaster,
released from Jail or Prison,
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True or False: Federally recognized American Indian/Alaskan Native consumers are eligible to apply at
ANY time without regard for enrollment periods. - ANSWER-TRUE
Are Certified Counselors required to complete annual recertification training and pass an exam? -
ANSWER-Yes, they are. They are also required to review program updates as they become available
throughout the year.
LMS (Learning Management System) - ANSWER-Is a database of training and reference materials.
What office handles consumer complaints and issues regarding certified enrollment assistance personnel
or their affiliated organizations? - ANSWER-Covered CA Office of Consumer Protection
How many languages are the CA Online Voter Registration in? - ANSWER-10 languages (english, spanish,
hindi, chinese, japanese, khmer, korean, tagalog, thai, vietnamese)
Are you able to complete voter registration application for the consumer? - ANSWER-NO YOU ARE NOT;
the consumer will be mailed a voter registration card.
A consumer wants to register to vote while enrolling in-person for health coverage, and there is internet
available for them to use. What should you do? - ANSWER-Select the "Yes", open the online voter
registration website option in the online application to access the Secretarty of State's website. Select
the registration form in the consumer's preferred language if it is offered. Also, inform the consumer that
answers to the online voter registration form may be filled out in private.
A Certified Counselor is working with a consumer for any reason other than to submit an application,
renewal, or change of address but the consumer specifically asks about voter registration options
through Covered CA. -True or False- The Certified Counselor should inform the consumer about the voter
registration options. - ANSWER-True
What are the Open Enrollment/Coverage Effective Dates? - ANSWER-- November 1 - December ->
January 1
- January 1 - January 31 -> February 1
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Does Open Enrollment apply to Medi-Cal, AI/AN consumers, or consumer with income 150% or below? -
ANSWER-No it does not
What is QLE? - ANSWER-Qualifying Life Events
What is the time-frame does SEP usually last? - ANSWER-within 60 days
Can individuals that are NOT seeking to enroll be asked about their citizenship or immigration status
even when they are applying for a family member? - ANSWER-No the cannot be asked about their
citizenship or immigration status.
Can undocumented individuals apply for their family members? - ANSWER-Yes they can. Proof of
immigration status is only required for persons seeking to enrol in a Covered CA health plan or Medi-Cal.
What is restricted scope Medi-Cal? - ANSWER-It is limited to emergency services and is not considered
minimum essential coverage (MEC)
Will receiving financial assistance through Covered CA affect the applicant's immigration status, or their
chances of becoming a lawful permanent resident or naturalized citizen? - ANSWER-It will not affect the
applicant ONLY if the individual receives long-term care in a nursing home or is otherwise
institutionalized in a long-term care facility paid for by the government through the Medi-Cal program or
if the individual does not tell the truth on their application for health coverage.
If the consumer is married and they are a victim of domestic abuse or spousal abandonment, do they
need to include their spouse on the application? - ANSWER-No they do not and they also do not need to
file their income tax jointly.
What is MAGI? - ANSWER-Modified Adjusted Gross Income
What is a catastrophic plan also known as minimum coverage plan? - ANSWER-Is a coverage plan for
people:
- UNDER the age of 30,
- Provides health care services, with very few exceptions, only after out-of-pocket maximum is met
Certified Enroller Exam – Covered California
2025 | Study Guide, Practice Test Questions, and
Certification Requirements
Prepare for the Certified Enroller Exam – Covered California 2025 with the latest study
guide, training materials, and free practice test questions. Learn everything about Covered
California certification, enrollment procedures, and health insurance compliance to become
a Certified Enrollment Counselor or Agent with confidence.
• Certified Enroller Exam Covered California 2025
• Covered California certification exam
• Covered California enroller training
• Covered California exam questions and answers
What are Mixed Households? - ANSWER-A situation where members of the same family are eligible for
different types of health coverage.
True or False: Consumers with income 150% or below the FPL (Federal Poverty Level) are NOT qualified
to enroll or change plans at any time throughout the year. - ANSWER-FALSE: Consumers are allowed to
enroll at any time IF they have an income below the FPL
What are qualifying life events to be able to enroll during the SEP (Special Enrollment Period)? -
ANSWER-Qualifying life events include: getting married, having a baby, received in Foster Care or
adopting, losing other health coverage or on the verge of losing health care coverage, moved to/or
within CA, DA or Spousal Abandonment, Returned from Active Military Service, gained citizenship or
lawful presence, turned 26 years old, change of household size, natural or human-caused disaster,
released from Jail or Prison,
,2|Page
True or False: Federally recognized American Indian/Alaskan Native consumers are eligible to apply at
ANY time without regard for enrollment periods. - ANSWER-TRUE
Are Certified Counselors required to complete annual recertification training and pass an exam? -
ANSWER-Yes, they are. They are also required to review program updates as they become available
throughout the year.
LMS (Learning Management System) - ANSWER-Is a database of training and reference materials.
What office handles consumer complaints and issues regarding certified enrollment assistance personnel
or their affiliated organizations? - ANSWER-Covered CA Office of Consumer Protection
How many languages are the CA Online Voter Registration in? - ANSWER-10 languages (english, spanish,
hindi, chinese, japanese, khmer, korean, tagalog, thai, vietnamese)
Are you able to complete voter registration application for the consumer? - ANSWER-NO YOU ARE NOT;
the consumer will be mailed a voter registration card.
A consumer wants to register to vote while enrolling in-person for health coverage, and there is internet
available for them to use. What should you do? - ANSWER-Select the "Yes", open the online voter
registration website option in the online application to access the Secretarty of State's website. Select
the registration form in the consumer's preferred language if it is offered. Also, inform the consumer that
answers to the online voter registration form may be filled out in private.
A Certified Counselor is working with a consumer for any reason other than to submit an application,
renewal, or change of address but the consumer specifically asks about voter registration options
through Covered CA. -True or False- The Certified Counselor should inform the consumer about the voter
registration options. - ANSWER-True
What are the Open Enrollment/Coverage Effective Dates? - ANSWER-- November 1 - December ->
January 1
- January 1 - January 31 -> February 1
, 3|Page
Does Open Enrollment apply to Medi-Cal, AI/AN consumers, or consumer with income 150% or below? -
ANSWER-No it does not
What is QLE? - ANSWER-Qualifying Life Events
What is the time-frame does SEP usually last? - ANSWER-within 60 days
Can individuals that are NOT seeking to enroll be asked about their citizenship or immigration status
even when they are applying for a family member? - ANSWER-No the cannot be asked about their
citizenship or immigration status.
Can undocumented individuals apply for their family members? - ANSWER-Yes they can. Proof of
immigration status is only required for persons seeking to enrol in a Covered CA health plan or Medi-Cal.
What is restricted scope Medi-Cal? - ANSWER-It is limited to emergency services and is not considered
minimum essential coverage (MEC)
Will receiving financial assistance through Covered CA affect the applicant's immigration status, or their
chances of becoming a lawful permanent resident or naturalized citizen? - ANSWER-It will not affect the
applicant ONLY if the individual receives long-term care in a nursing home or is otherwise
institutionalized in a long-term care facility paid for by the government through the Medi-Cal program or
if the individual does not tell the truth on their application for health coverage.
If the consumer is married and they are a victim of domestic abuse or spousal abandonment, do they
need to include their spouse on the application? - ANSWER-No they do not and they also do not need to
file their income tax jointly.
What is MAGI? - ANSWER-Modified Adjusted Gross Income
What is a catastrophic plan also known as minimum coverage plan? - ANSWER-Is a coverage plan for
people:
- UNDER the age of 30,
- Provides health care services, with very few exceptions, only after out-of-pocket maximum is met
